| Jewish Family Service | |
|
333 South 132nd Street Omaha NE 68154 | |
| (402) 330-2024 | |
| (402) 697-7019 |
| Full Name | Jewish Family Service |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 South 132nd Street, Omaha, Nebraska |
| Authorized Official Name and Position | Karen Gustafson (DIRECTOR) |
| Authorized Official Contact | 4023302024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Service 333 South 132nd Street Jewish Family Service Omaha NE 68154-2106 Ph: (402) 330-2024 | Jewish Family Service 333 South 132nd Street Omaha NE 68154 Ph: (402) 330-2024 |
| NPI Number | 1952413072 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/07/2010 |
| Medicare PECOS PAC ID | 7719011527 |
|---|---|
| Medicare Enrollment ID | O20100816000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952413072 | NPI | - | NPPES |
| 348269000 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Kujath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508349887 PECOS PAC ID: 8820492168 Enrollment ID: I20210809000913 |
| Provider Name | Teresa C Drelicharz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013092790 PECOS PAC ID: 2062862600 Enrollment ID: I20231222001863 |
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